Individual
MISTY MICHELLE BREY SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2817 VEACH ROAD, OWENSBORO, KY 42303
(270) 684-2463
(270) 684-9449
Mailing address
2817 VEACH ROAD, OWENSBORO, KY 42303
(270) 684-2463
(270) 684-9449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6738
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60067386
—
KY
Enumeration date
01/09/2007
Last updated
07/08/2007
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